WILLOWGLEN ACADEMY-NEW JERSEY, INC. (NPI# 1346626470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346626470 |
| Entity Type | Organization |
| Organization Name | WILLOWGLEN ACADEMY-NEW JERSEY, INC. |
| Other Organization Name | WGA BOOTHBY |
| Practice Address |
62 Boothby Drive Mount Laurel NJ 08054 |
| Mailing Address |
8 Wilson Drive Sparta NJ 07871-3491 |
| Practice Telephone | 9735793700 |
| Practice Fax Number | 9735791786 |
| Mailing Telephone | 9735793700 |
| Mailing Fax Number | 9735791786 |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |
| Authorized Official Name | MRS. PATRICIA BATES (CONTROLLER) |
| Authorized Official Telephone | 9735793700 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILLOWGLEN ACADEMY-NEW JERSEY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| WGA Boothby | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962888990 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 429 Ridge Road, Fredon, NJ 07860 | 2015-07-31 |
| 1407232432 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 James Street, Newton, NJ 07860 | 2015-07-31 |
| 1073999009 | Willowglen Academy-new Jersey, Inc. | Day Training, Developmentally Disabled Services | 19 Wilson Drive, Sparta, NJ 07871 | 2015-07-31 |
| 1144606179 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 Big Spring Road, Hardyston, NJ 07460 | 2015-07-31 |
| 1861878894 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 61 Beaver Run Road, Lafayette, NJ 07848 | 2015-07-31 |
| 1972989903 | Willowglen Academy-new Jersey, Inc. | Day Training, Developmentally Disabled Services | 190 Munson Hurst Road, Franklin, NJ 07416 | 2015-07-31 |
| 1235515263 | Willowglen Academy-new Jersey, Inc. | Day Training, Developmentally Disabled Services | 501 Kings Avenue Suite 1, Cherry Hill, NJ 08002 | 2015-07-31 |
| 1568848620 | Willowglen Academy-new Jersey, Inc. | Day Training, Developmentally Disabled Services | 4 Gail Court, Sparta, NJ 07871 | 2015-07-30 |
| 1851777981 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 Roslyn Road, Branchville, NJ 07826 | 2015-07-30 |
| 1568848604 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 194 Plains Road, Frankford, NJ 07826 | 2015-07-30 |
| Street Address |
62 BOOTHBY DRIVE |
| City | MOUNT LAUREL |
| State | NJ |
| Zip Code | 08054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837267 | Samantha Leafey | Behavior Technician | 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 | 2019-12-04 |
| 1306403522 | A-1 Support Coordination Nj | Case Management | 1504 Larchmont Place, Mount Laurel, NJ 08054 | 2019-05-22 |
| 1285129080 | Lincoln Healthcare of New Jersey, LLC | Home Health | 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 | 2018-06-25 |
| 1295238400 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 | 2018-03-14 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1700304706 | Arc of Camden County Essex Lane Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5320 Essex Lane, Mt. Laurel, NJ 08054 | 2017-08-30 |
| 1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
| 1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
| 1225563927 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 761 Grant Ave, Mt Laurel, NJ 08054 | 2017-05-01 |
| Find all providers in zip 08054 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891325908 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 347 Walton Ave, Mount Laurel, NJ 08054-9579 | 2020-01-17 |
| 1588208623 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2903 Yarmouth Ln, Mount Laurel, NJ 08054-6267 | 2019-11-01 |
| 1073073995 | Rapid Response Healthcare Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4519b Aberdeen Dr, Mount Laurel, NJ 08054-5615 | 2019-03-25 |
| 1215447222 | Durand, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 303 Birchfield Dr, Mount Laurel, NJ 08054-4005 | 2017-10-04 |
| 1811367303 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 50 Stratford Ln, Mount Laurel, NJ 08054-1915 | 2015-09-28 |
| 1720458219 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6407 Normandy Dr, Mount Laurel, NJ 08054-5990 | 2015-09-28 |
| 1801266390 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6607 Normandy Dr, Mount Laurel, NJ 08054-5992 | 2015-09-28 |
| 1710357207 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6801 Normandy Dr, Mount Laurel, NJ 08054-5994 | 2015-09-28 |
| 1164892659 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3205a Limestone Way, Mount Laurel, NJ 08054-6240 | 2015-09-28 |
| 1629448113 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2905a Heatherstone Ct, Mount Laurel, NJ 08054-1876 | 2015-09-28 |
| Find all providers in MOUNT LAUREL | ||||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.